Instructions:  Print all pages now and fill out the order form which begins below.

Fax (1-512-388-3974) or mail the order form to LEHLE SEEDS at the address below.

LEHLE SEEDS ORDER FORM
Date _________________________________


Contact Person __________________________________________________________________


Contact Daytime Telephone _______________________________________________________


Contact FAX _____________________________________________________________________


Contact Email ___________________________________________________________________


PAYMENT METHOD

Purchase Order [__]  No. ________________________________________________________
(Important! LEHLE SEEDS must receive a copy of the official institution 
 purchase order with this number before order will be processed and shipped.)

Debit or Credit Card [__]  - Visa or MasterCard

	Cardholder Name _________________________________________________________

	Card Number _____________________________________________________________
	
	Expiration Date _____/_____ 
Other Method [__] Describe in comments section below. Must conform to our
terms (see http://www.arabidopsis.com/main/cat/pricing/terms.html).
SHIPPING METHOD - LEHLE SEEDS will pick best way

UPS-(USA & Canada) FEDEX-(Elsewhere)  Exception - Express Mail for seeds to Japan.    

V.A.T. or TAX ID Number _________________________________________________________

SHIPPING ADDRESS (Abbreviate long address. Physical address only; no PO Boxes.)

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

TELEPHONE __________________________________FAX__________________________________
CUSTOMS BROKER (Provide name, address, telephone and fax numbers.)
_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________
Can we put [__] freight charges or [__] customs duties or [__] both 

on your [__] FEDEX or [__] UPS account? _________________________________________
BILLING ADDRESS

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

TELEPHONE __________________________________FAX__________________________________

LIST ITEMS YOU WANT TO ORDER HERE

#   Quantity   Cat. No.    Description                    Unit Price     Total

1.  _____________________________________________________________________________

2.  _____________________________________________________________________________

3.  _____________________________________________________________________________

4.  _____________________________________________________________________________

5.  _____________________________________________________________________________

6.  _____________________________________________________________________________

7.  _____________________________________________________________________________

Special instructions or comments_________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

FAX to 1-512-388-3974 or mail completed form to 
LEHLE SEEDS, PO BOX 2366, ROUND ROCK TX 78680-2366 USA